目的 探讨高原军人抑郁、焦虑与情绪调节方式的关系。方法 采用流调中心抑郁自评量表(center for epidemiologic studies depression scale,CES-D)、状态-特质焦虑量表(state-trait anxiety inventory,STAI)、军人情绪调节方式量表(armymen emotion regulation types questionnaire,AERTQ)对4691名高原军人进行抽样调查。结果 ①高原军人抑郁发生率为31.60%,均分为(13.27±7.19);状态焦虑均分(39.28±8.98),特质焦虑均分(39.28±8.43)。② 4种军人情绪调节方式使用频率差异有统计学意义[F(3,13 890)=1401.99,P〈0.01],从高到低依次是自我安慰(15.60±4.29)、情感求助(13.82±4.22)、行为抑制(13.45±4.32)、认知重视(11.16±3.98)。③高原军人的抑郁、状态焦虑、特质焦虑都与认知重视(r=0.492、r=0.303、r=0.373,P〈0.01)、行为抑制(r=0.189、r=0.041、r=0.057,P〈0.01)呈正相关,而与情感求助(r=-0.099、r=-0.185、r=-0.161,P〈0.01)、自我安慰(r=-0.150、r=-0.221、r=-0.227,P〈0.01)呈负相关。③认知重视、行为抑制、情感求助、自我安慰能够有效地预测高原军人抑郁情绪,总解释率为29.40%;认知重视、情感求助、自我安慰能够预测高原军人状态焦虑和特质焦虑,总解释率分别为17.00%、22.10%。结论 使用不同军人情绪调节方式对高原军人抑郁、状态焦虑和特质焦虑有重要影响。
Objective To explore the relationship of emotion regulation types with depression and anxiety in officers and soldiers stationed in high altitude areas. Methods A total of 4 691 officers and soldiers stationed in plateau areas were surveyed with epidemiologic studies depression scale (CES-D), statetrait anxiety inventory (STAI) and armymen emotion regulation types questionnaire (AERTQ). Results ① In high altitude areas, the prevalence rate of depression in military personnel was 31.60%. The mean score for depression symptom was 13.27±7.19, that for state anxiety inventory was 39.28±8.98, and for trait anxiety inventory was 39.28±8.43. ②The frequencies of using 4 emotion regulation types were significant different [F(3,13890)=1401.99, P〈0.01], with self-comfort (15.60±4.29), affective-appeal (13.82±4.22), behavior-restrain (13.45±4.32), and cognitive-focus (11.16±3.98) in order. ③The depression, state anxiety and trait anxiety had positive correlation with cognitive-focus (r=0.492, r=0.303, r=0.373, P〈0.01) and behavior-restrain (r=0.189, r=0.041, r=0.057, P〈0.01), and had negative correlation with affective-appeal (r=-0.099, r=-0.185, r=-0.161, P〈0.01) and self-comfort (r=-0.150, r=-0.221, r=-0.227, P〈0.01). ④ Cognitivefocus, behavior-estrain, affective-appeal and selfcomfort were predictors of depression, with a total explanation rate of 29.40% for the total variance. Cognitivefocus, affective-appeal and self-comfort were predictors of state anxiety and trait anxiety, which could explain 17.00% and 22.10% respectively of the total variance. Conclusion Different emotion regulation types exert important effect on depression, state anxiety and trait anxiety in officers and soldiers in high altitude.